Key points:

• Given the prevalence, severity and impact of fetal alcohol spectrum disorders (FASDs) on individuals and communities, there should be better social work knowledge and understanding of, as well as support for, these disorders
• Social workers can play a more positive role in the prevention and identification of FASD, as well as in services supporting those affected by it
• Increased awareness and learning opportunities, and more encouragement and resources are necessary for social workers to fulfil their potential in this field

Introduction
A fetal alcohol spectrum disorder is an irreversible neurodevelopmental condition caused by alcohol exposure in utero (Mukherjee and Alton (Eds), 2021). FASDs are a significant risk in some, but not all, alcohol-exposed pregnancies. Although not widely known, FASD is the most common learning disability. The Scottish Government estimated that at least 172,000 children, young people and adults currently have FASD (Health Improvement Scotland, 2019). Anecdotally, we know that social workers rate their knowledge and understanding of FASD as low and would not ordinarily know how to upskill themselves. This Insight is one step toward addressing that gap by covering the long-term impacts of FASD and how social work involvement can support better outcomes for people. Social work support can be preventative, and thereby, reduce escalation, avoid longer-term problems, and help break cycles of vulnerability, marginalisation and adversity...